Download Washington Separation Agreement Template for Free

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Superior Court of Washington
County of
In re the Marriage of:
Petitioner,
and
Respondent.
No.
Petition for
Legal Separation (Marriage)
(PTLGSP)
Para.1.12: check box if petition is
attached for:
[ ] Order for protection DV (PTORPRT)
[ ] Order for protection UH (PTORAH)
I. Basis
1.1 Identification of Petitioner
Name (first/last) , Birth date
Last known residence (county and state only) .
1.2 Identification of Respondent
Name (first/last) , Birth date
Last known residence (county and state only) .
1.3 Children of the Marriage Dependent Upon Either or Both Spouses
[ ] Does not apply. There are no children dependent on either or both spouses.
[ ] The petitioner and respondent are both the legal (biological or adoptive) parents of the following
dependent children:
Name (first/last) Age
Name (first/last) Age
Name (first/last) Age
Name (first/last) Age
Name (first/last) Age
Pet for Legal Separation (PTLGSP) - Page 1 of 9
WPF DR 01.0110 Mandatory (12/2012) - RCW 26.09.020; 26.09.030(4)
Washington Separation Agreement Template
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